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NOV/13/2014/THU 03:36 PM North Cree� �oofing FAX No,425 487 6524 P,001 <br />� � <br />PERMIT A,PPL#C�►,T'ION <br />BU�LD�NG/M�C�Ip►NICAL/PLUMBf NG/S�GN/SPRINKLER/DEMOL�TION <br />C1TY OF EVERFTT PERMIT SERVICES <br />3200 Ceciar St_, Everett, WA 95201 425-257-881 p FAX 4�5-257-8857 www.everettwa.org <br />APPLECATIONS ARE ACC�PTED FROM 8 AM TO 4 PM <br />S17EADDR�: �yy� PROPERTYTAX# PEi� T. <br />�l^1 , � � � - O'� <br />LEOAL for new construction� Short Plet/subaivision Lot No. {attach copy af fony legal d�scnption) <br />ress �'i �) ���] <br />'LICANT; Owner <br />cor�TrucT <br />,t <br />Orrmar"s Agent <br />BUI�p1NG pERMjT APPLICATlO� <br />�honelE�mail /.1119 ^ 1,'l "1 ` <br />JCify/5take2ip �IrIJ�, `��� \ �� V�� � Z1 //l� �� <br />_ Contra.ctOr8 A�efli _ T81l8f1I (muet Drovlde e lattec o! wneenE irom U�a owner to do wprk �n ths ;pew} <br />L & I Lic. # � Uj " (9 — � Go� Hus. Lfc. # �r <br />"`�i,� PhonelEmail Z, "����—�-'C`g <br />CONTACT FOR PERMIT �,�V, � � <br />�haneiE-maEi ��� � �� - � �i `P 'f't�5�'Ri10.� �O���e,yc.�t� c��8n.�. <br />CONTRACT Pl21C� O� WORK � I . , �S7 • ° � � v� <br />Exlsting Use of Builciir�g HEAT soU�CE: <br />Proposed Use o Building Gas EfectC�c _ OIhEf <br />Building type: �Single Family _ Dupiex_Townhouse _ Mulfi-Famify ^ Commercial .� <br />Fypa ofi projact: New _ Addition Remocfel Repair T.I. Siqn Sprinkler Demolition Chanqe of Use <br />U�SCf21PTION OF WORK (additionarsp ce provided on the 6ack): <br />f��'� � � 't.,�' `� ��v`/� �..o �\� e� � � �.-(,'�;� 1M'� s�.. �\ �1 'U,v�-�'-� `C��iti C.t., <br />� �� v � <br />� <br />�'(�,` �L tL, +M"U���k-�-� "U�� . <br />MECF�ANICA� PLRl1M17 A,PPLECATION <br />of Project: _Nsw _Atldn _AltBratian _Repdir <br />Show Nurraber t�) of �xtures <br />A/C — air handlinp units <br />Water heater <br />Gas firopiace <br />Gas range <br />Clothos dry�r <br />Range hood <br />�xhaus4tan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />OFher <br />� SUPPR�SSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />ofproj¢ct: ,,,_ffsw��ddn `Alieratfon_Repair <br />Show Num6er (#) of fractures <br />I Toilet � � <br />6athtuh <br />Shower <br />Kitchen sink & disp <br />Dishwasher <br />Clothes washer <br />water hea.ter <br />Sjnk (service/bar/m <br />Backflow prevenEer <br />llrinal <br />Flrsor drain <br />Grease trap <br />Roof drains <br />fvledical Gas <br />Other: <br />Okher: <br />I n�irrby certlfy thef 1 hava rsad and sxamined thiS application and know ths same to bs trve and correct. All provisions of lawe end ordinanezs govaming iniS aps of wvrlc �rift b6 compGed <br />vJ�th whsthsr spscfiea herefn or not. T7ie g�snpng ot s percn�t qoes nOt pre�ume to g�vm buthonty to violafe orwncsl the pmvi�ion of any other sta[e orlocs! isw regulatlng conatruc6on <br />That I am a�thortzea �y the owner of inls properry to perfocm uie work for w�tc� spplfcstfon Is msde �na I oomply �H�h phe State Contrackors Law �8.27 RCW end 296.2o�A WAC_ <br />�' �� <br />wnerlAuthorized A Iqf1a uYe 2fe (ReV7S6d 6/2012f <br />